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HomeMy WebLinkAboutBLDE-22-003216 Commonwealth of Official Use Only irC , Massachusetts Permit No. BLDE-22-003216 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:12/7/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 61 WEBBERS PATH Owner or Tenant Jason Pratt Telephone No. Owner's Address MA Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Rewire house after fire. Completion of the following table may be waived by the Inspector of Wir s. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 0 In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Richard A Haarman Licensee: Richard A Haarman Signature LIC.NO.: 13615 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 18 Holmes Rd, Harwich MA 026452219 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But my signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$150.00 V `�� q-/e(R-r_ � Cosmorama&O`Maseociirr rdatte Official Use Only w �' e7 Permit No. " --2---/-- '3'32-1 opartrastri Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 ) (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 11/30/2021 2. City or Town of: Yarmouth To the Inspector of Wires: .f. By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number)61 Webbers Path J Owner or Tenant Jason Pratt Telephone No. C Owner's Address 61 Webbers Path W.Yarmouth, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No ® (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead Undgrd❑ No.of Meters ---', New Service Amps / Volts Overh Undgrd❑ No.of Meters lA . Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: Rewire Dwelling After Fire 8 vlCompletion of thefollowi table nt /n be waived by the ctor of Wires. lb No.of Recessed Luminaires No.of Cil.-Sasp.(Paddle)Fans To.of K Transformers KVAVA Q No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming p� Above ❑ In- ❑ No.of Emergency Lighting fond. crud. Battery Units `J No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones z No.of Switches No.of Gas Burners 'No.of Detection and Initiating Devices ota IQ No.of Ranges No.of Air Cond. Tl No.of Alerting Devices ons Heat PumpNumber Tons KW No.of Self-Contained No.of Waste Disposers Totals: _ .____..._.�_.___..__.__._.._ Detection/Akr�Devic s No.of Dishwashers �un nothir Space/Area Heating KW onnection No.of Dryers Heating Appliances Key Seca •* No.of Water No.of or Equivalent Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devices or ' .uivalent _ No.Hydromassage Bathtubs No.of Motors Total HP Tel Ngo.of Devices or " ! ' OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE■ BOND 0 OTHER 0 (Specify:) I cerltffy,under the pains and , , ,, ofpedury,that the information n this application is true and complete 36 (5 -114— FIRM NAME:Snows Fuel,LLC LIC.NO.:8175 Al Licensee: Richard A Haarman Signature ALIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.TeL No.:508-255-1090 Address: 18 Main St Alt.Tel.No.:508-789-5410 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$